SARAH JOHNSON, RN — NPI 1366092793 (Licensed & Credentialed Registered Nurse, Medical-Surgical in WILLIAMSON, NY)

CMS-1500 Box 24J / 33a • NPI

1366092793

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WM0705X

Licensed & Credentialed Registered Nurse, Medical-Surgical

Box 32 Service Location & ZIP+4

6804 N CENTENARY RD, WILLIAMSON, NY, 14589-9756

✓ 9-Digit EDI 837 ZIP+4 (14589-9756)

Practice Phone & Referral Fax

(585) 944-1883

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366092793 (SARAH JOHNSON, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1366092793` (NPI-1 Individual Practitioner)
Provider / Legal Name	SARAH JOHNSON, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Medical-Surgical NUCC Code: `163WM0705X` (Registered Nurse, Medical-Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6804 N CENTENARY RD, WILLIAMSON, NY, 14589-9756
Practice Telephone / Fax	Tel: (585) 944-1883
Administrative Mailing Address	6804 N CENTENARY RD, WILLIAMSON, NY, 14589-9756
Enumeration & Last Sync	Enumerated: 2019-09-17 \| CMS Record Updated: 2019-09-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6804 N CENTENARY RD, WILLIAMSON, NY, 14589-9756

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Plain-English Taxonomy & CMS Crosswalk (163WM0705X)

What Does Taxonomy Code 163WM0705X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WM0705X translates to:
"Licensed & Credentialed Registered Nurse, Medical-Surgical"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Medical-Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SARAH JOHNSON, RN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WM0705X` — Registered Nurse, Medical-Surgical Plain English: Licensed & Credentialed Registered Nurse, Medical-Surgical	State: NY \| License: `702838-1` \| Primary: Yes (Primary)

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SARAH JOHNSON, RN (NPI #1366092793)